MEDICARE: FRANKLIN VENTURA LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	017159	NY

General Provider Information

NPI Number	:	1346103462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN VENTURA LMHC

Provider Business Mailing Address
First Line	:	1377 MOTOR PKWY STE 102
Second Line	:
City	:	ISLANDIA
State	:	NY
Zip	:	11749-5249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CORACI BLVD STE 15&16
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-4833
Country	:	US
Telephone Number	:	631-696-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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